CHAPTER 11   BACTERIA

 

PROKARYOTIC GROUPS

Bacteria all have in common the prokaryotic cell type, but there are many groups and many ways of classifying them. Bergey’s Manual is the most widely accepted authority.  Bacteria make up two of the three domains—the domain Bacteria (the common everyday bacteria) and the domain Archaea (strange and unusual bacteria).

 

They are subdivided into various groups according to Gram stain reaction, cell shape, cell arrangements, oxygen requirements, motility, and nutritional and metabolic properties.

 

Table 11.1  P. 314 – 316 gives a summary of the various groups, including major genera and special features. Most of the remaining chapter covers this same information, but in more detail. Most of the bacteria mentioned are those of practical importance, medical importance, etc. Many  genera are omitted if they do not fit this description.

 

Only a small percentage of bacterial genera have been discovered and classified. It is estimated that only 5 – 10 % of bacteria are potentially harmful. The rest are harmless or beneficial.

 

DOMAIN  :  BACTERIA

 

 

I. GRAM-NEGATIVE BACTERIA

 

      A. PROTEOBACTERIA—this group includes most of the gram-negative, chemoheterotrophic bacteria. This is the largest taxonomic group. Placement within this group is based on studies of rRNA.

 

        1. ALPHA-PROTEOBACTERIA (a-PROTEOBACTERIA)—this group  includes most of the proteobacteria that can grow with low levels of nutrients.

 

·         Some have unusual morphology

·         Nitrogen-fixing bacteria are important in agriculture

·         Several plant and human pathogens are included

·         All are gram-negative

·         The majority are rods, although other forms are also found

 

          a. Azospirillum—organisms of this genus grow in soil in close association with the roots of certain plants such as sugar cane, corn, and tropical grasses.  These organisms fix nitrogen.

 

               b.  Acetobacter and Gluconobacter both are used in industry to convert ethanol into vinegar (acetic acid)

 

               c.  Rickettsia—rods or coccobacilli which are obligate intracellular parasites (reproduce only inside a mammalian cell). Transmitted to humans by the bites of insects or ticks. Cells take the bacteria in by phagocytosis and reproduction occurs inside the cell by binary fission. Various rickettsias cause a group of  diseases known as the spotted fevers—all involve a rash due to damage to capillaries. Dr. Howard Ricketts, who discovered these organisms and gave them his name,  died after contracting a rickettsial disease in a lab accident, proving that these can be quite dangerous.

 

                  1) Rickettsia prowazekii causes epidemic typhus fever, transmitted by lice

 

                  2) Rickettsia typhi causes endemic murine typhus, transmitted by rat fleas

 

                  3) Rickettsia rickettsii causes Rocky Mountain Spotted Fever, transmitted by ticks

 

               d. Ehrlichia species live within white blood cells and are similar to the rickettsias. They are transmitted by ticks to humans and cause ehrlichiosis, a serious blood disease.

 

               e. Caulobacter and Hyphomicrobiumboth live in water and produce stalk-like structures called prosthecae to anchor themselves to surfaces.  Hyphomicrobiumr reproduces by budding.

 

                f. Rhizobium, Bradyrhizobium and Agrobacterium 

                  1) Rhizobium & Bradyrhizobiumlive in nodules in the roots of legumes (beans, peas, clover) and carry on nitrogen fixation

                   2) Agrobacterium—this genus includes a plant pathogen which causes crown gall. (The crown is the area where roots and stem merge; a gall is a tumor-like growth).

 

              g. BartonellaB. henselae­ causes cat-scratch disease

 

               h. Brucella—small nonmotile coccobacillus—all species are obligate parasites. The disease is brucellosis. These organisms can survive phagocytosis.

   

               i. Nitrobacter and Nitrosomonas—both are nitrifying bacteria which use reduced nitrogen compounds for energy and deposit nitrate into the soil. These are chemoautotophs.

 

               j. Wolbachia­—live only inside the cells of their insect hosts

 

 

        2. BETA-PROTEOBACTERIA (b-PROTEOBACTERIA)—often use nutrient substances that diffuse away from decomposing organic matter but several pathogens are in this group

               a. Thiobacillus—use sulfur in energy production

 

               b. Spirillum—spiral shape, live in water and are motile by polar flagella. They are relatively large and aerobic.

 

               c. Sphaerotilus—sheathed bacteria found in fresh water and sewage. They form a hollow filamentous sheath and live inside. This can clog sewage plants.

 

               d. Burkholderia—this is a recently classified genus, split off from Pseudomonas. Organisms are motile by flagella and aerobic. B. cepacia can break down a great variety of organic compounds and may be a problem in contamination of medical equipment in hospitals. The organism is also found causing infections, particularly in cystic fibrosis patients.

 

               e. BordatellaB. pertussis is an aerobic rod which causes whooping cough

 

               f. Neisseria—these aerobic cocci usually inhabit the mucous membranes of mammals. Some of them are harmless, but two major pathogens are included:

 

                  1) Neisseria gonorrhoeae—causative agent of gonorrhea

 

                  2)  Neisseria meningitidis—causative agent of meningococcal meningitis

 

               g. Zooglea—beneficial in aerobic sewage treatment plants

 

 

         3. GAMMA-PROTEOBACTERIA (g-PROTEOBACTERIA) --some names in this group are order names. Up to now the names have been genus names.  If it is in italics, it is a genus. If it is in all caps but not in bold, it is an order. The all caps in bold are groups larger than orders.(If you think this is confusing, I do too, but this is what our book does!)

 

               a. Beggiatoa alba—only species in the genus. Grows in aquatic sediments and is motile by gliding. It uses hydrogen sulfide for energy and stores sulfur granules as cellular inclusions.

               b. Francisellasmall, pleomorphic bacteria that require media enriched with blood or tissue extracts.  F. tularensis causes tularemia (rabbit fever).

               c. PSEUDOMONALES (an order)—all are gram-negative and aerobic. Shape is rod or coccus.

                  1)  Pseudomonas—aerobic rods, motile by flagella. Many produce pigments which diffuse into their surroundings.

                      a)  P. aeruginosa—produces blue-green pigment and commonly causes infections of the urinary tract, burns and wounds. The pus has the blue-green color and a horrible odor.  This organism is a big problem in hospitals due to its resistance to many antibiotics and the ability to grow on equipment and even in some solutions of disinfectants.

                      b) P. syringae—occasional plant pathogen

                      c) In general, pseudomonads are often found in soil and may decompose chemicals there (breaking down harmful substances such as pesticides is beneficial). They also are associated with food spoilage. Members of this group are able to produce an unusually large number of enzymes.

                   2) Azotobacter  and Azomonas—free-living in soil. These are capable of nitrogen fixation but often fix little because other nutrients they require are in short supply in soil.

                  3) Moraxella—aerobic coccobacilli.  M. lacunata causes conjunctivitis (pinkeye).

 

               d. LEGIONELLALES—another order.

                  1)  Legionella—this entire genus was discovered fairly recently. They have probably been around longer than humans, but we had never found them. In  1976 there was an outbreak of an unusual pneumonia in persons who had attended a national convention of the American Legion.  These bacteria were eventually found to be the cause. The difficulty was that they will not grow on normal lab media, but media which meet their requirements were developed and now several species have been identified. In nature they live in water. Occasionally they colonize water lines, air conditioning systems, produce misting systems, etc. and cause disease when they are inhaled.

                  2) Coxiella –C. burnetii causes a disease called Q fever. It was first grouped with the rickettsias, but this one is different because it is not transmitted by insects. Coxiella  is like the rickettsias in that it can only reproduce inside a mammalian cell. It is often associated with cows and is transmitted to humans through aerosols or contaminated milk. (Pasteurization kills it.)

 

               e. VIBRIONALES—this order consists of facultatively anaerobic rods which are usually slightly curved

                  1) Vibrio is the main genus. It includes V. cholerae, the causative agent of cholera. This disease once caused great epidemics with a high death rate due to extreme diarrhea. V. parahaemolyticus is associated with eating raw or undercooked shellfish and causes a less severe gastroenteritis.

 

               f. ENTEROBACTERIALES—an order

·         All are gram-negative facultatively anaerobic rods

·         Simple nutritional requirements

·         Many are motile by peritrichous flagella

·         Commonly known as the enterics, because they live in the intestinal tracts of humans and other animals

·         Many are part of what is known as the normal flora of the body (microbes that are always present and usually harmless)

·         A few members of this group are found only as potential pathogens (disease-causing organisms)

·         Even the normal flora organisms can become pathogens in unusual circumstances

·         All enterics are quite similar so specific identification can be quite difficult, often requiring biochemical tests and serology

·         Enterics have fimbriae, which they use to attach to surfaces, especially the mucous membranes of their normal environment.

·         They also have sex pili, which they use to transfer genetic information between cells. This is bad news for humans, because antibiotic resistance is often passed between organisms this way

·         Enterics produce proteins called bacteriocins, which are harmless to the species producing them but cause lysis of other species in the environment. This probably helps maintain the balance between the normal flora species and also helps eliminate pathogens in the intestines

                  1)  Escherichia—E. coli is a major member of the enteric group. It is also the most studied and familiar bacterial species used in biological research. Tests to detect its presence in water or food are important because this is considered an indication of fecal contamination. Although regular strains of E. coli are normal and harmless in the intestinal tract, there are exceptions:

·         Regular strains cause many urinary tract infections—they are OK in the intestines but pathogenic in other locations

·         Certain strains produce enterotoxins, which cause travelers' diarrhea

·         One specific strain, E. coli  O157:H7 produces a toxin which causes a severe or fatal foodborne disease

 

                  2) Salmonella—these enterics are not normal flora, and their presence in the intestinal tract of humans is not considered normal. Animals, especially poultry and cattle, frequently do carry these organisms, and they can contaminate food. Nomenclature and classification of these organisms does not follow the usual pattern. All salmonellas are a single species, Salmonella enterica. The species is then divided into over 2400 serovars (serotypes) , meaning their serological reactions differ, which allows identification. Even though it is not really following correct procedure, the common serovars are given names and often written as if they were species names—

Salmonella typhi  or  Salmonella cholerasuis for example.  The really correct way would be Salmonella enterica serovar Typhi.

Salmonella typhi causes typhoid fever, the most severe illness associated with this genus. All others can cause salmonellosis, a very common foodborne illness.

 

                  3) Shigella—species cause shigellosis, also called bacillary dysentery. This can be quite severe, especially in babies and the elderly. This genus is found only in humans.

                  4) Klebsiella—live in soil and water as well as intestinal tracts. Many can fix nitrogen. K. pneumoniae can cause severe pneumonia, usually in patients in a very poor nutritional state.

                  5) Serratiaone species, ­S. marcescens, produces a reddish-orange pigment. It is a common contaminant in hospitals, frequently found on catheters and in supposedly sterile solutions. It has been know to establish itself in air ducts and cause pneumonia due to inhalation. It also may cause urinary tract infections.

                  6)   Proteus—this genus shows a swarming growth on agar—this means it spreads all over the place. May cause urinary tract infections and infect wounds.

                          7) Yersinia---Y. pestis causes bubonic plague—the Black Death of medieval times. Rats and wild rodents may carry this organism, and it spreads to humans by way of fleas. Once infection occurs, it can pass from person to person also. This is not only a disease from way back in history—there are usually a few cases in the US every year.

                   8) Erwinia—this genus differs from the rest. It is primarily a pathogen of plants, causing rot.

                  9) Enterobacter—these can live in water and soil as well as intestinal tracts. E. cloacae and E. aerogenes can cause urinary tract infections and nosocomial (hospital-acquired) infections.

 

               g. PASTEURELLALES—this order includes human and animal pathogens. The organisms are nonmotile.

                  1) Pasteurella—mainly animal pathogens which can cause pneumonia and septicemia (bacteria living and multiplying in the blood—a very serious situation).  P. multocida can be transmitted from dogs and cats to humans by bites or wounds.

                  2) Haemophilus—found in the mucous membranes of the upper respiratory tract, the mouth, the vagina and the intestinal tract. H. influenzae got its name from the mistaken belief that it caused influenza. It is a common cause of ear infections and sometimes causes meningitis in children. It can also cause epiglottitis, septic arthritis, bronchitis, and pneumonia. H. ducreyi causes a sexually transmitted disease called chancroid. When grown in the lab, these organisms require blood in their culture medium.

 

 

     4. DELTA-PROTEOBACTERIA (d-PROTEOBACTERIA)includes bacteria that prey on other bacteria and also contributors to the sulfur cycle. 

 

                   a) Bdellovibrio is the main genus. There attach to other gram-negative bacteria and penetrate into the periplasmic space (between outer membrane and plasma membrane). The original invader elongates and breaks into pieces, producing several new cells. The host cell lyses and releases them.

 

        b) DESULFOVIBRIONALES—this order of obligate anaerobes use oxidized sulfur as terminal electron acceptors, producing hydrogen sulfide which is released into the atmosphere.                    

                          1) Desulfovibrio  is the best-studied genus.

                          2) Beggiatoa is another genus in this group.

 

              c) MYXOCOCCALES--fruiting and gliding bacteria. The geuns Myxococcus produces vegetative cells that move by gliding, leaving a slime trail. They feed on other bacteria. Large numbers aggregate (gather) and form a macroscopic fruiting body containing resting cells called myxospores. Later these myxospores germinate and form vegetative gliding cells.

 

        5. EPSILON-PROTEOBACTERIA (e-PROTEOBACTERIA)—slender rods, helical to vibroid. Microaerophilic and motile by flagella.

               a) Campylobactervibroid with one polar flagellum

                  1) Campylobacter fetus—spontaneous abortions in domestic animals

                  2) Campylobacter jejunifoodborne intestinal disease (diarrhea)

               b) Helicobacter—curved rods with multiple flagella. H. pylori is the cause of most peptic ulcers in humans and can even be involved in stomach cancer .

 

 

      B. NONPROTEOBACTERIA---GRAM NEGATIVE BACTERIA---these are only distant relatives of the gram-negative proteobacteria.

  

         1. Cyanobacteria—these have a blue-green color and resemble algae. They carry out oxygenic photosynthesis and many of them fix nitrogen. Special cells called heterocysts contain enzymes that convert nitrogen gas to ammonium ions. Most species grow in water and have gas vacuoles that allow the cells to float. Some are unicellular and divide by binary fission. Other forms are colonies and filamentous forms. Cyanobacteria are believed to have played a big role in bringing oxygen levels up in our atmosphere and they still add oxygen as well as fixing nitrogen.

 

              2.  Purple and Green Photosynthetic Bacteria--this is not really an independent group. The photosynthetic bacteria are found scattered in various other groups.

 

      Purple sulfur bacteria—gamma-proteobacteria

      Purple nonsulfur bacteria—alpha-proteobacteria    

      Green sulfur bacteria—non-proteobacteria

      Green nonsulfur bacteria—non-proteobacteria

 

In general, they are mostly anaerobic and live in sediments of lakes and ponds. Shape may be spirals, rods, or cocci. They carry out anoxygenic photosynthesis. The following overall reaction occurs in purple and green sulfur bacteria:

 

2 H2S   +   CO2   à   (CH2O)  +  H2O  +  2 S

 

Purple and green nonsulfur bacteria reduce  CO2  using organic compounds such as acids or carbohydrates as electron donors.

 

 

II. GRAM-POSITIVE BACTERIA

 

These are divided into two groups---those that have a high G + C ratio and those with a low G + C ratio. (To determine this, the DNA of the organisms is studied. The percentage of cytosine and guanine is compared to the percentage of adenine and thymine and that is the G + C ratio.)

 

      A. LOW  G + C  GRAM-POSITIVE BACTERIA----the Firmicutes

          1.  CLOSTRIDIALES

        a. Genus Clostridium—these are obligate anaerobes that form endospores, which are highly resistant to heat, drying, and chemicals.

                  1) C. tetani—causative agent of tetanus

                  2) C. botulinum—causes botulism, a severe form of food poisoning that can be fatal

                  3) C. perfringens—gas gangrene in wounds and also gastrointestinal upsets

                  4) C. difficile—can cause very serious diarrhea (pseudomembranous colitis) when other inhabitants are killed off by antibiotics.

 

                b. Epulopiscium—E. fishelsoni is newly discovered and really strange. Its size is tremendous compared to other bacteria—80  X  600 mm when normal bacteria might be  1  X  2  mm. It was found living in symbiosis in the gut of Red Sea surgeon fish, and at first thought to be a protozoan. However, it has no nucleus and bacterial flagella, so a new genus was created for it and it is now classified as a bacterium. Its reproduction is atypical also—daughter cells form inside and are released through a slit opening.

 

              

        2. BACILLALES—gram-positive rods and cocci.

                 a. Bacillus—these are rods that produce endospores. Most are nonpathogenic but there are exceptions:

                  1) Bacillus anthracis causes anthrax. Although this is primarily a disease of cattle, sheep and horses, it can be transmitted to humans. This organism is a large gram-positive rod, nonmotile and facultatively anaerobic. Endospores are centrally located. Since endospores are highly resistant to drying and anthrax endospores are infectious by inhalation, this organism has great potential as an agent of biological warfare.

 

                  2) Bacillus thuringiensis is a microbial insect pathogen. Endospores or crystallized toxins of this organism are used as a spray on plants. When ingested by an insect, the toxin causes paralysis of the gut and the insect dies. In some insects the endospores germinate and bacteria contribute to the insect’s death. Bacteria normally found associated with plant roots have been genetically engineered to produce the same toxin so they can also kill insects feeding on the plant.

 

                 3) B. cereus—common in the environment, occasionally causes food poisoning associated with starchy foods such as rice.

 

            3. Staphylococcus--these organisms are gram-positive cocci which usually occur in grapelike clusters. Although many species of this genus exist as harmless inhabitants of skin and mucous membranes, one member, Staphylococcus aureus, is capable of causing severe infections that are often resistant to many antibiotics. Some, in fact, are resistant to all known antibiotics currently available. Both pathogenic and nonpathogenic species are able to grow well in surroundings of fairly high osmotic pressure, which allows them to grow in nasal secretions. It is not uncommon to find that antibiotic-resistant Staphylococcus organisms have colonized the noses of hospital workers, usually without symptoms, and eliminating these bacteria can be quite difficult. Staphylococcus also is able to grow in foods such as ham, where osmotic pressure prevents many other bacteria from surviving.

 

Staphylococcus aureus produces a variety of toxins, which increase its ability to spread and invade tissue. Infections of surgical or other wounds with this organism is a common problem, and it can cause fatal nosocomial infections.  One strain produces a toxin that causes toxic shock syndrome. The organism also produces an enterotoxin that causes food poisoning. This toxin is not destroyed by normal reheating of food.

 

          4.  LACTOBACILLALES

                a. Lactobacillus—although these organisms are unable to use oxygen, they are aerotolerant. They ferment carbohydrates and produce large amounts of lactic acid as an end product. The resulting acidity in their surroundings inhibits growth of many other types of competing bacteria. Humans normally have lactobacilli in the vagina, intestinal tract, and the mouth. These harmless bacteria play a major role in limiting the growth of potentially harmful species. In fact, during or following antibiotic treatment, freeze-dried lactobacilli are sometimes used to help reestablish normal balance in the intestine.

Lactobacilli also are responsible for production of sauerkraut, pickles, buttermilk, and yogurt.

 

                b. Streptococcus--these are gram-positive cocci, which are likely to grow in chains of varying length. They are mostly aerotolerant, although a few are anaerobic. They are often classified by their action on blood agar. One group, the alpha-hemolytic species, reduce hemoglobin and leave a greenish ring in the agar surrounding colonies. Beta-hemolytic species leave a clear zone. Others are nonhemolytic.

 

Pathogenic streptococci have the ability to destroy phagocytic cells and produce enzymes that break down the connective tissue of the host, allowing the infection to spread as well as destroying tissue. Other enzymes dissolve blood clots, also allowing spread of the organisms.  

                 

                1) Streptococcus pyogenes—principal pathogen; causes “strep” throat, and some strains carry a plasmid that produces the toxin of scarlet fever. Also causes impetigo and rheumatic fever. Several strains of S. pyogenes are the "flesh-eating" bacteria.       

                  2) Streptococcus mutans­—attaches to teeth and is a major factor in tooth decay

 

                  3) Streptococcus pneumoniae ---usually found in pairs instead of chains and causes pneumonia. In recent years, a strain which produces a very rapidly-developing fatal pneumonia and is antibiotic-resistant has been seen.

                 

                4) A few are nonpathogenic and involved in production of dairy products

 

            c. Enterococcuslive in areas of the body that are rich in nutrients but low in oxygen—gastrointestinal tract, vagina, mouth. Often they are contaminants in hospitals and cause nosocomial infections, especially infections of surgical wounds and the urinary tract.

                 1) Enterococcus faecalis

                 2) Enterococcus faecium

 

 

               d. Listeria monocytogenes occasionally contaminates food, especially dairy products. It has the ability to grow at refrigerator temperatures, and there have been recent outbreaks of the disease listeriosis traced to hotdogs and luncheon meats. The disease is particularly serious in pregnant women, since it can cause severe damage to the fetus. Listeria can survive inside phagocytic cells.

 

 

    5. MYCOPLASMATALES---these are highly pleomorphic and lack a cell wall. (They really don’t have a gram-reaction, but are placed in the gram-positive group anyway.) When first discovered, this group could not be grown on artificial media, but after the discovery that media must contain sterols and meet some other unusual requirements that is no longer true.

              a. Mycoplasma---most are aerobic or facultative anaerobes. The cells are very small (0.1 to .025 mm), which puts them at or below the limits of resolution of a light microscope. Even their colonies are so tiny that a magnifying glass is used to observe them. Because their plasma membranes must be stronger than those of other bacteria, they must incorporate sterols in the membrane, so their growth media must include sterols, which most bacteriological media do not. They also are grown in tissue cultures.  Mycoplasma pneumoniae—causes atypical primary pneumonia (walking pneumonia)

               b. Spiroplasma species, which are pathogens of plants and insects that feed on plants. Cells have a corkscrew shape.

               c. Ureaplasma species—sometimes associated with urinary tract infections. They produce an enzyme that can split urea.

 

 

     B. HIGH   G  +  C  GRAM-POSITIVE BACTERIA—these belong to the phylum Actinobacteria.  Many are pleomorphic and several are filamentous.

 

       1. Mycobacterium--these are aerobic, non-endospore-forming rods that occasionally exhibit filamentous growth. They have a distinctive cell wall, which is similar in some ways to that of gram-negative bacteria, although they usually stain gram-positive. Instead of a true outer membrane, they deposit a thick waxy layer of mycolic acid, which gives them great resistance to drying and also prevents many antibiotics and disinfectants from entering the cell. Nutrients also enter the cell slowly, which results in unusually slow growth. It is this layer of mycolic acid which makes these bacteria stain acid-fast. Most species live in soil and water and only occasionally are pathogenic

      

               a. Mycobacterium tuberculosis—tuberculosis             

               b. Mycobacterium leprae—leprosy

 

        2. Corynebacterium---Corynebacterium diphtheriae—causative agent of diphtheria.  Organisms in this genus tend to be pleomorphic.

 

        3. Propionibacterium--Propionibacterium acnes—commonly associated with human acne. Other species are used in production of Swiss cheese.

 

        4. Gardnerella--Gardnerella vaginalis is a difficult organism to classify. It has a variable gram-staining reaction and highly pleomorphic form. Although its cell wall has a gram-positive structure, it is very thin and often stains gram-negative. Whatever its classification is causes the most common form of bacterial vaginitis. (Yeast infections are much more common, but the cause of these is a fungus.)

 

           5. Frankia—causes nitrogen-fixing nodules to form in alder tree roots

 

           6. Streptomyces—strict aerobes which are responsible for producing many of our antibiotics. They reproduce by forming asexual conidiospores at the ends of their filaments. They have a great ability to produce extracellular enzymes that allow them to use nutrients found in soil.  Many of our antibiotics have come from various species of this genus.

 

            7. Actinomyces—these facultative anaerobes are found in the mouth and throat of humans and animals. They may form filaments. Actinomyces israelii causes actinomycosis, a disease that attacks tissues of the head, neck or lungs.

 

            8. Nocardia--this is a group of bacteria which are most frequently found associated with soil. Most of them are nonpathogenic. They are aerobic and reproduce by forming filaments which fragment into small rods. They have a cell wall which resembles that of the mycobacteria, so they often stain acid-fast. Nocardia asteroides—occasionally causes a chronic pulmonary infection which is difficult to treat. This organism can also cause a condition called mycetoma, a destructive infection of the feet or hands.

 

 

 

III. ASSORTED MISCELLANEOUS BACTERIA

 

       A.  Chlamydia & Chlamydophila—these are tiny, gram-negative, coccoid bacteria. They are obligate intracellular parasites with complicated life cycles. Reproduction must occur within the host cell and this group also must use the host cell's ATP.  They are transmitted by personal contact or aerosols. In the lab, they must be grown in tissue cultures or other living cells.

 

 

                  1. Chlamydia trachomatis—this organism causes:

·         A serious eye infection called trachoma, which was a common cause of blindness before the age of antibiotics, and still causes blindness in undeveloped countries.